title: Urodynamic patterns after traumatic spinal cord injury.
abstract: OBJECTIVE
  To study the correlation between neurological level of spinal injury and bladder functions as detected by urodynamic study.
  
  
  METHODS
  Analytical study.
  
  
  METHODS
  Seventy individuals with traumatic spinal cord injury (SCI) admitted to the Department of Physical Medicine and Rehabilitation, S.M.S. Medical College and Hospital, Jaipur. Detailed clinical, neurological evaluation as per American Spinal Injury Association Classification and radiological assessment were done along with clinical examination of bladder and urodynamic study.
  
  
  RESULTS
  Out of 65 patients with suprasacral injuries, 53 (81.5%) demonstrated hyperreflexia with or without detrusor sphincter dyssynergia, 6 (9.2%) detrusor areflexia, and 6 (9.2%) had normal bladders, 41 (59.4%) low compliance (<20 ml/cmH2O), and 47 (72.30%) had high detrusor leak pint pressures (>40 cmH2O). Of the five patients with sacral injuries, one (20%) showed detrusor hyperreflexia, four (80%) detrusor areflexia, and one (20%) had low bladder compliance; all five (100%) had high detrusor leak point pressures.
  
  
  CONCLUSIONS
  The correlation between somatic neurologic findings, spinal imaging studies, and urodynamic findings in patients with SCI is not exact. Therefore, bladder management should not completely rely only on clinical bladder evaluation or neurological examination alone, but should always include urodynamic studies.
authors.forename: Mahima
authors.initials: M
authors.lastname: Agrawal
authors.forename: Mrinal
authors.initials: M
authors.lastname: Joshi
mesh_terms: D006801:Humans; D012021:Reflex, Abnormal; D013119:Spinal Cord Injuries / Q000175:diagnosis*; D014563:Urodynamics
keywords: Bladder; Bladder management; Detrusor; Dyssynergia; Neurogenic; Spinal cord injuries; Urodynamic study